title: Avatar-based interactive ileostomy education in hospitalized patients.
abstract: Computer-assisted education can be an effective means for patient engagement and empowerment however the feasibility of postoperative computer-assisted ileostomy education has not been studied systematically. The purpose of this study was to assess feasibility and patient acceptance of tablet-based interactive ileostomy education in patients with new stomas, and to evaluate the impact of this education modality on knowledge and self-efficacy. An interactive multimedia education for ileostomy management guided by adult learning theories was tested in 15 hospitalized patients with new ileostomies. After using the avatar-based education, the ileostomy knowledge score improved from 27.8±3.4 to 31.3±1.5 (p<0.002) and stoma care self-efficacy improved from 78.4±22.7 to 92.7±14.1 (p<0.05). Attitudinal surveys and qualitative interviews demonstrated high level of acceptance and provided valuable feedback for future improvements. We concluded that avatar-based interactive instruction can potentially be an effective means to deliver health education to hospitalized patients.
authors.affiliation: Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: McKenzie
authors.initials: M
authors.lastname: Bedra
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Wick
authors.forename: Daniel
authors.initials: D
authors.lastname: Brotman
authors.forename: Joseph
authors.initials: J
authors.lastname: Finkelstein
mesh_terms: D000293:Adolescent; D000328:Adult; D003194:Computer-Assisted Instruction / Q000706:statistics & numerical data*; D005060:Europe / Q000453:epidemiology; D005260:Female; D006266:Health Education / Q000379:methods / Q000706:statistics & numerical data*; D057220:Health Literacy / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007081:Ileostomy / Q000193:education*; D008297:Male; D015995:Prevalence; D014584:User-Computer Interface; D055815:Young Adult